Individual
CARLA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
(870) 240-8505
Mailing address
6637 HIGHWAY 135 N, PARAGOULD, AR 72450-9165
(870) 586-0895
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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